Individual provider · Type 1 NPI

Chanel Diane Smith

Massage Therapist · Las Vegas, NV

NPI number 1669340360 Active

Practice location

2117 Cary Grant Ct
Las Vegas, NV 89142-4704

Call (610) 680-8504 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNVMT.13096 (NV)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1669340360

Chanel Diane Smith's National Provider Identifier is 1669340360, issued on Oct 25, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 25, 2025.